Principled thinking: a comparison of nursing students and experienced nurses

Area of Science:

• Nursing Ethics
• Moral Development
• Healthcare Education

Background:

• Ethical reasoning is crucial for nurses facing complex dilemmas.
• Previous research has not fully explored the differences in ethical reasoning between nursing students and experienced practitioners.

Purpose of the Study:

• To compare the ethical reasoning abilities of senior baccalaureate nursing students and experienced registered nurses.
• To investigate the influence of environmental factors and prior experience with ethical dilemmas on nursing principled thinking.

Main Methods:

• A descriptive study design was employed.
• The Nursing Dilemma Test was utilized to assess ethical reasoning.
• Data were collected from senior baccalaureate nursing students and experienced registered nurses.

Main Results:

• Nursing students scored significantly higher on the Nursing Dilemma Test than experienced nurses.
• A significant negative correlation was found between years of nursing experience and principled thinking.
• Educational level and previous experience with ethical dilemmas did not significantly affect principled thinking.
• Practical considerations were associated with lower levels of moral reasoning.

Conclusions:

• Ethical dilemmas present ongoing challenges for practicing nurses, causing confusion and uncertainty.
• Individual analysis of personal and professional values is recommended for nurses.
• Ongoing education and administrative support are crucial for assisting nurses experiencing moral distress.